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Urologe A 2019 Apr 12. Epub 2019 Apr 12.

Klinik und Poliklinik für Urologie, Universitätsklinikum, Friedrich-Schiller-Universität Jena, Jena, Deutschland.

The focus of this work is on aspects of the current management of recurrent nephrolithiasis in private practices and outpatient departments in Germany. We wanted to make a contribution to the epidemiological discourse as well as for an instrument for the self-reflection and complex classification of urolithiasis in everyday practice by a first-time determination of population-based, age- and gender-based data based on the full recording of urological diagnoses and treatments in the federal accounting setting. The analysis of the taken positions in this representative practice survey prove to some extent information and experience deficits in the handling of complicated nephrolithiasis. Read More

Urologe A 2019 Apr 12. Epub 2019 Apr 12.

Kantonsspital Frauenfeld, Klinik für Urologie, Spital Thurgau AG, Frauenfeld, Schweiz.

Urologe A 2019 04;58(4):369

Urologische Abteilung, Lehrstuhl für Geriatrie der Universität Witten/Herdecke, Evangelisches Krankenhaus Witten gGmbH, Pferdebachstr. 27, 58455, Witten, Deutschland.

Urologe A 2019 Apr;58(4):437-450

Kantonsspital Frauenfeld, Klinik für Urologie, Spital Thurgau AG, Pfaffenholzstrasse 4/Postfach, 8501, Frauenfeld, Schweiz.

The spectrum of surgical procedures for the minimally invasive treatment of benign prostatic hyperplasia (BPH) has significantly increased over the last two decades. The simple suprapubic prostatectomy (subtotal prostatectomy, SP) has largely lost relevance in current practice. On the other hand, transurethral resection of the prostate (TURP) has been further standardized and potentially made safer by the introduction of the bipolar technique and low-pressure systems. Read More

Urologe A 2019 Mar 20. Epub 2019 Mar 20.

Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstraße 11, 89073, Ulm, Deutschland.

In the late 17th and early 18th centuries, ancient humoral pathology was gradually complemented by new concepts of medical theory. Two important theories that emerged in this context were iatrochemistry and iatrophysics. The physician Johannes Franc (1649-1725) from Ulm and Friedrich Hoffmann (1660-1742), the first professor of the medical faculty of the Fridericiana in Halle (Saale), are representatives of these concepts. Read More

Urologe A 2019 Mar 18. Epub 2019 Mar 18.

Martini-Klinik Prostatakrebszentrum, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Until 2018, patients with nonmetastatic castration-resistant prostate cancer (nmCRPC/M0CRPC) did not have a generally acknowledged standard of care therapy. As a result, these patients were often managed in a nonstandardized individual fashion and comparative analyses were lacking. In the current narrative review, we give an overview on the respective entities of nmCRPC and summarize novel treatment options that arose from the publication of the results of the SPARTAN and PROSPER trials and their subanalyses. Read More

Urologe A 2019 Mar 11. Epub 2019 Mar 11.

Urologische Klinik und Poliklinik, Klinikum der Universität München, Marchioninistraße 15, 81377, München, Deutschland.

In the prostate-specific antigen (PSA) era, most prostate cancers (PCa) are diagnosed in a localized stage and a plethora of therapeutic options are warranted in different clinical settings and disease stages of localized PCa. In the current narrative review, we give an overview of the current controversies in the therapeutic landscape of localized PCa and focus on organ-sparing approaches, percutaneous radiotherapy, brachytherapy as well as retropubic and robot-assisted prostatectomy by summarizing studies that have been published within the last two years. Read More

Urologe A 2019 Mar;58(3):329-340

Urologische Klinik und Poliklinik, Campus Großhadern, Klinikum der Universität München, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Deutschland.

Prostate cancer is a heterogeneous disease. In cases of low-risk prostate cancer, active surveillance represents an attractive alternative treatment. Significant complications of a definitive treatment can therefore be delayed or completely avoided. Read More

Urologe A 2019 Feb 27. Epub 2019 Feb 27.

Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstraße 11, 89073, Ulm, Deutschland.

This paper addresses the question of how the urological disciplinary culture and urological knowledge were reformed during the early postwar period under conditions of the allied policy of denazification and demilitarization in East Germany. This article deals with the urological textbook as a central medium of disciplinary communication and explores how urological knowledge was processed in complex negotiation processes between authors, publishers and censorship authorities of the Soviet occupation zone. The focus is on mechanisms of medial control to which medical knowledge cycles have been subjected, and thus the archival holdings of censorship authorities that have not yet been evaluated. Read More

Urologe A 2019 Apr;58(4):389-397

Lehrstuhl für Geriatrie der Universität Witten/Herdecke, Witten, Deutschland.

A serious voiding disorder or urinary incontinence represent indications for long-term catheterization of the urinary bladder. Treatment by a transurethral or suprapubic bladder catheter for life-long bladder drainage is accompanied by technical short-term complications and long-term sequelae. The mortality risk associated with inserting a suprapubic catheter is approximately 2% due to an incorrect bladder puncture. Read More

Urologe A 2019 Mar;58(3):254-262

Klinik für Urologie, Universitätsklinikum Freiburg, Freiburg, Deutschland.

Novel minimally invasive treatment options strive for innovative approaches that are equally efficient to standard procedures with a superior safety profile. A true minimally invasive technique can be performed in an ambulatory setting under local anaesthesia and no need for postinterventional catheterization so that quick and problem-free return to everyday life is possible. Sexual dysfunction is a great concern of sexually active patients facing surgery. Read More

Urologe A 2019 Mar;58(3):324-328

Klinik für Urologie, Charité-Universitätsmedizin Berlin, Berlin, Deutschland.

Urologe A 2019 Feb;58(2):178-180

Klinik für Urologie der Universität Regensburg am Caritas-Krankenhaus St. Josef, Landshuter Str. 65, 93053, Regensburg, Deutschland.

Urologe A 2019 Jan;58(1):65-76

Urologische Klinik und Poliklinik, Klinikum der Universität München, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland.

Postoperative follow-up care after curative surgery or ablative treatment is the standard of care in patients with nonmetastatic renal cell carcinoma. The goal is to identify and treat postoperative complications and local recurrences early on. Follow-up investigations and their relevance are widely acknowledged and validated and patients undergoing follow-up seem to benefit from a longer survival in nonmetastatic renal cell carcinoma. Read More

Urologe A 2019 Jan 8. Epub 2019 Jan 8.

Institut für Didaktik und Ausbildungsforschung in der Medizin, Klinikum der LMU München, München, Deutschland.

Background And Objectives: The rapid development of new knowledge resources is essential for continuous training and continuing education. Since the training period often coincides with the starting of a family, time resources are often scarce. For this reason, a new, voluntary, web-based e‑learning training series was designed for urological assistants (urology onLINE). Read More

Urologe A 2019 Jan;58(1):5-13

Klinik und Poliklinik für Radiologie, Klinikum der Universität München, Campus Großhadern, München, Deutschland.

Background: Staging of bladder cancer, hematuria as well as the evaluation of unclear findings of the kidneys and ureters are the most frequent indications for imaging of the upper urinary tract (UUT). Endourological assessment of the UUT is much more invasive compared to imaging of the bladder, raising the question of the optimal imaging technique. Several technical improvements regarding computed tomography (CT) as well as magnetic resonance imaging (MRI) were implemented in recent years. Read More

Urologe A 2019 Jan;58(1):64

Museum, Bibliothek und Archiv der Deutschen Gesellschaft für Urologie, Düsseldorf, Deutschland.

Urologe A 2019 Mar;58(3):291-299

Klink für Urologie und Urologische Onkologie der Medizinischen Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Knowledge of artificial intelligence will become essential in urology and medicine in the future. Today, computer-aided solutions are used for higher-dimensioned data or complex questions. In urological research, but also in clinical application, artificial neural networks (ANN) have been increasingly used for years and are continuously being developed. Read More

Urologe A 2018 Dec 12. Epub 2018 Dec 12.

Klinik für Urologie und Kinderurologie, Universitätsklinik Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland.

Background And Objectives: The development of child day care is currently the focus of a public discussion. More and more very young children are cared for in a day-care facility rather than by the family. Therefore, key aspects of education are shifted into these institutions. Read More

Urologe A 2018 Dec;57(12):1431-1432

Berufsverband der Deutschen Urologen e. V., Sylt OT Keitum, Deutschland.

Urologe A 2018 Dec;57(12):1445-1451

Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, Ismaninger Str. 22, 81765, München, Deutschland.

Background: Benign, premalignant and malignant changes in the anogenital region, as in the oropharynx are often affected by a persistent HPV infection. Since a causal therapy isn't possible, the focus is on early diagnosis of dysplasia. Better knowledge of the human papilloma virus led to the development of the HPV vaccine and now primary prevention of cancer is possible. Read More

Urologe A 2018 Nov;57(11):1346-1350

Fachgebiet Impfprävention, Robert Koch-Institut, Berlin, Deutschland.

Urologe A 2018 Nov;57(11):1375-1388

Abteilung für Neuro-Urologie, Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland.

Sacral neuromodulation (SNM) is a minimally invasive, established treatment modality for overactive bladder (OAB) as well as for other pelvic functional disorders, such as non-obstructive urinary retention and fecal incontinence. A pacemaker implanted in the upper buttocks delivers mild electrical pulses to the sacral nerves thereby modulating pathological afferent signals from pelvic end organs. The current article conveys the current knowledge on the indications, contraindications, mechanism of action, implantation technique, efficacy and complications of SNM for the treatment refractory OAB. Read More

Urologe A 2019 Feb;58(2):155-158

Klinik für Urologie und Kinderurologie, St. Antonius-Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.

Urologe A 2018 Dec;57(12):1452-1456

Urologische Klinik, Klinikum Memmingen, Lehrkrankenhaus der LMU München, Bismarckstraße 23, 87700, Memmingen, Deutschland.

Due to the lack of an established school-based immunization program, the initial German public funded girls-only human papillomavirus (HPV)-vaccination strategy failed. Over the last decade, the female coverage rates have not exceeded much more than 40%, thus, missing herd immunity for boys. Therefore, the German HPV immunization program has been revised and currently recommends a gender-neutral HPV vaccination for all children aged 9-14 years to prevent all HPV-related tumors which can be prevented by immunization. Read More

Urologe A 2019 Mar;58(3):304-313

Klinikum, Lehrstuhl für Urologie, Universität Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

In a performance- and success-oriented profession like that of physicians, especially in an academic environment, a certain balance seems indispensable. In the past and today, recreational activities of physicians are very diverse. In addition to sports activities, musical and cultural interests have always been and still are widespread among physicians. Read More

Urologe A 2018 Oct;57(10):1185-1190

Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, KUNO-Kinderkliniken Regensburg, Regensburg, Deutschland.

In recent years, the number of refugees to Germany has risen dramatically. Nearly half of the refugees are under 18, and a large percentage of them have acute or chronic medical problems. This situation poses a unique challenge to pediatric hospitals. Read More

Urologe A 2018 Oct;57(10):1191-1199

Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Gießen und Marburg - Standort Gießen, Gießen, Deutschland.

We are observing the largest worldwide wave of migration ever. Displaced persons usually do not have access to general health care and are faced with a lack of hygienic conditions and infection control while fleeing, which leads to an accumulation of "exotic" infectious diseases. The number of patients with tuberculosis (TB) had declined for many years in Germany; however, increasing numbers of cases have recently been observed. Read More

Urologe A 2018 Oct;57(10):1208-1213

Klinik für Urologie und Kinderurologie, St.-Antonius-Hospital Eschweiler, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.

Background: Because sick and injured children from war and crisis areas can often only be helped to a limited extent in their countries of origin, those children with the most complex diseases often receive medical treatment in Europe.

Materials And Methods: To evaluate the postoperative outcome of reconstructive interventions in children from war and crisis areas, an evaluation of the clinic's internal database between 1997 and 2017 was carried out. The operative indication, the surgical procedure, any revisions or conversions and the overall mortality were analyzed. Read More

Urologe A 2018 Nov;57(11):1362-1365

Institut für Geschichte der Medizin der Robert Bosch Stiftung, Straußweg 17, 70184, Stuttgart, Deutschland.

Modern sexology was introduced by the Berlin-based Magnus Hirschfeld, who was born 150 years ago. He revolutionized the physician-patient relationship by introducing new terms of sexual behavior. His theory of "sexual in-betweens" paved the way for new concepts in sexual therapy, including hormonal pills in urological practice. Read More

Urologe A 2018 08;57(8):891-892

Berufsverband der Deutschen Urologen e. V., Haart 87-89, 24534, Neumünster, Deutschland.

Urologe A 2018 Sep;57(9):1103-1110

Institut für Geschichte, Theorie und Ethik der Medizin, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Deutschland.

In this contribution we describe the life and work of the Berlin physician Carl Posner (1854-1928). We present his central role as a member of the founding generation of urology, andrology, and academic sexology in Germany. His clinical work, research and publication illustrate the central role these new disciplines played in the urological field. Read More

Urologe A 2018 Sep;57(9):1048-1057

Klinik für Urologie der Universität Regensburg, Caritas-Krankenhaus St. Josef, Landshuter Straße 65, 93053, Regensburg, Deutschland.

The recent introduction of new diagnostic techniques has revolutionized uro-oncolgy. In addition to multiparametric magnetic resonance imaging (mpMRI), prostate-specific membrane antigen positron-emission tomography (PSMA-PET) plays an increasingly import role in daily practice. The introduction of three-dimensional (3D) printing technologies in the context of robot-assisted uro-oncological surgery represents a first step towards individualized 3D imaging. Read More

Urologe A 2018 Aug;57(8):930-934

Zentralinstitut für die kassenärztliche Versorgung in der Bundesrepublik Deutschland, Salzufer 8, 10587, Berlin, Deutschland.

This article describes the economic situation in German outpatient practices of urology during the period 2012-2015 based on data from the Zi-Praxis-Panel (ZiPP). Additionally, it discusses the aspects of working times and operating times. Furthermore, the article presents a new Zi project in the field of day surgery and ambulant inpatient surgery. Read More

Urologe A 2018 Sep;57(9):1111-1132

Curator Deutsche Gesellschaft für Urologie e. V., Düsseldorf-Berlin, Deutschland.

The German Society of Urology was founded in 1906/1907 with a historical background starting in 1896 shortly after the death of Maximilian Nitze, the "inventor" of the cystoscope. This reflects the end of the first phase in the establishment of modern scientific urology as a specialty of its own within German-speaking countries (Imperial Germany, the Austria-Hungary Empire and Switzerland). Supported by German emigrants, the international orientation of German urology and networks was important during this time period. Read More

Urologe A 2018 Sep;57(9):1075-1090

Urologische Klinik, Universität Ulm, Ulm, Deutschland.

The monopoly of robotic surgical devices of the last 15 years will end in 2019 when key patents of Intuitive Surgical expire. Thus, we can expect an interesting competitive situation in the coming years. Based on personal experience with robot-assisted surgery since 2001, we conducted a search of the current literature together with a search of relevant patents in this field. Read More

Urologe A 2018 Aug;57(8):919-926

BvDU Berufsverband der Deutschen Urologen e. V., Nestorstr. 8-9/4, Berlin, 10709, Deutschland.

The Professional Association of German Urologists (BvDU e. V) and Deutsches Institut für Fachärztliche Versorgungsforschung GmbH (DIFA) jointly develop the online portals urogister.de and uroscience. Read More

Urologe A 2018 Aug;57(8):954-957

Akademisches Lehrkrankenhaus der RWTH Aachen, Klinik für Urologie und Kinderurologie, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.

Urologe A 2018 Aug;57(8):927-929

Geschäftsstelle des Sachverständigenrates zur Begutachtung der Entwicklung im Gesundheitswesen, Friedrichstraße 108, 10117, Berlin, Deutschland.

Urologe A 2019 Feb;58(2):159-167

Promotionskolleg KoMMa.G, TU Braunschweig - Abteilung für Geschichte der Naturwissenschaften mit Schwerpunkt Pharmaziegeschichte, Beethovenstr. 55, 38106, Braunschweig, Deutschland.

Within the field of the history of technology, much has been written about the so-called "prosthesis boom" of the First World War. Most of these studies claim that the main motive of the mass supply of artificial limbs to amputee soldiers was primarily aimed at restoring the work force. However, because these studies often lack a gender perspective, it stays unmentioned to what extent this also served to reconstruct a hegemonic masculinity that had become fragile, if not destroyed by the consequences of the war. Read More

Urologe A 2018 Jul;57(7):836-845

Institut für Geschichte, Theorie und Ethik der Medizin, Heinrich-Heine-Universität, Düsseldorf, Deutschland.

The use of eponyms has a long history in medicine. But it is a rare case that a term not associated with a procedure or an anatomical description has come into use. The terms "stent" and "splint" in German and English used as a verb and a noun are a typical example. Read More

Urologe A 2018 07;57(7):852-854

Endourologie, Klinik für Urologie, Uro-Onkologie, spezielle urologische und roboter-assistierte Chirurgie, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Urologe A 2018 Jun;57(6):655-656

Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität in München, Klinikum Großhadern, LMU, Marchioninistr. 15, 81377, München, Deutschland.

Urologe A 2018 Jul;57(7):813-820

Klinik für Urologie, Uro-Onkologie, Roboter-assistierte und Spezielle Urologische Chirurgie, Universitätsklinikum Köln, Köln, Deutschland.

In March 2017 the 'Advanced Prostate Cancer Consensus Conference' (APCCC) took place in St. Gallen (Switzerland). The APCCC-panelists are internationally well known experts. Read More

Urologe A 2018 Jul;57(7):798-803

Solidaris Rechtsanwaltsgesellschaft mbH, Von-der-Wettern-Straße 11, 51149, Köln, Deutschland.

Background: This article describes the introduction of the law to combat corruption in the healthcare system.

Objective: The effects of the introduced penal regulations on the delivery of medical services is critically scrutinized and the associated procedures as well as indications for the course of action are presented.

Results: Knowledge of the relevant regulations and types of procedure is decisive for the penal, social legislative and professional conduct risk minimization. Read More

Urologe A 2018 Jul;57(7):804-810

Leibniz-Institut für Arbeitsforschung an der TU Dortmund (IfADo), Ardeystr. 67, 44139, Dortmund, Deutschland.

Convincing urological expert opinions require the objectification of medical history complaints of health and functional disorders in the legal sense of obtaining full proof. This means that there is such a high degree of likelihood, beyond any doubt of a reasonable person observing the condition (Bundessozialgericht Entscheidung [BSGE] 32, 203/207). This requires a comprehensive general and special medical history survey, as well as a series of urological examination procedures in the hands of experienced urologists. Read More

Urologe A 2018 May;57(5):530-531

Klinik für Anästhesiologie , Überregionales Zentrum für Schmerztherapie und Palliativmedizin , Universitäre Palliativmedizin Krhs. St. Vincentius, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 131, 69120, Heidelberg, Deutschland.

Urologe A 2018 May;57(5):529

Springer Medizin Verlag GmbH, Tiergartenstr. 17, 69121, Heidelberg, Deutschland.

Urologe A 2018 Oct;57(10):1222-1229

Klinik für Urologie und Kinderurologie, St. Antonius-Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.

Background: Early detection examinations take place from birth to the age of 6 years. The youth screening is a continuation of the screening of the "U-series" and should be carried out between the age of 12-15 and 16-17, respectively. Afterwards adolescent girls have good contact with a gynecologist, but adolescent boys usually do not have a medical contact person who they can trust in. Read More

Urologe A 2018 Jun;57(6):709-713

Klinik und Poliklinik für Nuklearmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland.

In the last 3 years, Lutetium-177 prostate-specific membrane antigen radioligand therapy (Lu-177-PSMA-RLT) has received increasing attention in nuclear medicine as a new form of treatment for castration-resistant metastatic prostate cancer. This therapy combines the radionuclide Lutetium-177, which has been therapeutically used in nuclear medicine for many years, with a molecular target of the transmembrane prostate-specific membrane antigen expressed by prostate cancer cells. Since there are no prospective randomized studies on Lu-177-PSMA-RLT and the question of reimbursement has repeatedly been the subject of review by the MDK Nordrhein (Medischenische Dienst der Krankenversicherung), there was a desire because of the increasing number of patients being treated to clarify under which circumstances Lu-177-PSMA-RLT can be reimbursed by German statutory health insurance. Read More